Kanda Therapy Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KANDA THERAPY INC

Practice address

9200 W 191St St Ste 6
Mokena, IL 60448-8730

Phone

(815) 421-9131

NPI assigned

Dec 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Krista Raatjes, LCSW, RPLAYTHERAPISTNPI 1902348592

Title

President, LCSW

Phone

(815) 421-9131

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krista Raatjes, LCSW

  • Clinical Social Worker
  • Mokena, IL
  • NPI 1902348592
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1184382566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W 191ST ST STE 6",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488730",
            "telephone_number": "815-421-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W 191ST ST STE 6",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488730",
            "telephone_number": "815-421-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDA THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "RAATJES",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "PRESIDENT, LCSW",
        "authorized_official_telephone_number": "815-421-9131",
        "authorized_official_credential": "LCSW, RPLAYTHERAPIST"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHEALTH",
            "identifier": "1740001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "2389816",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen T. Jones, PT
• Nichole Jones, APN
• Nicolette Jones, APN, FNP-BC
• John Joyce, P,T,
• Chayani Pam Kaenkumchorn
• Jack Patrick Kane Jr., LCSW
• Ceres K Kangou, APN-CNP
• Bridget Blaney Kaplan, APN
• Cecilia C Kasem, LCPC
• Kaye E. Davis, MD, SC

• Clinical Social Worker in Mokena, IL
• Providers in Mokena, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.